MRS. JOO YOUNG DE VERA ACNP-BC
NPI 1518396357
Nurse Practitioner - Acute Care in New York, NY

Active since November 02, 2013PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-6673 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Joo Young De Vera Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JOO YOUNG DE VERA ACNP-BC (NPI 1518396357) is an individual acute care provider in New York, New York, licensed in New York (F430703-1) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518396357
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. JOO YOUNG DE VERACredential: ACNP-BC
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address71 Shafter AveAlbertson, NY 11507-1822 · (917) 683-4441
Sole ProprietorNo
Enumeration DateNovember 2, 2013
Last NPPES UpdateDecember 18, 2013
✔ NPI 1518396357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F430703-1
1275 YORK AVE, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Joo Young De Vera Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joo Young De Vera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joo Young De Vera's NPI number?

The NPI number for Joo Young De Vera is 1518396357. It was assigned to this individual provider in the NPPES registry on November 2, 2013.

Where is Joo Young De Vera located?

Joo Young De Vera practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6673.

What is Joo Young De Vera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Joo Young De Vera enrolled in Medicare?

Yes. Joo Young De Vera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joo Young De Vera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joo Young De Vera reassigns Medicare benefits to Memorial Anesthesiology Group (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joo Young De Vera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joo Young De Vera was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.